自杀行为与阻塞性睡眠呼吸暂停之间的关联基于STOP-Bang问卷:一项全国性基于人口的研究
Chang Hoon Han1,2, Joohyng Son3, Jae Ho Chung4
1Department of Internal Medicine, National Health Insurance Service Ilsan Hospital, Goyang, Republic of Korea.
The Journal of clinical psychiatry
|February 10, 2025
概括
通过STOP-Bang问卷识别的阻塞性睡眠呼吸暂停 (OSA) 中等至高风险的个体表现出增加的自杀行为. 这突显了睡眠健康与一般人口精神健康之间的关键联系.
科学领域:
- 睡眠医学 睡眠医学
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
背景情况:
- 阻塞性睡眠呼吸暂停 (OSA) 是一种普遍的睡眠障碍.
- 自杀行为是一个重大的公共卫生问题.
- 睡眠障碍与自杀风险之间的关联需要在不同人群中进一步调查.
研究的目的:
- 为了检查阻塞性睡眠呼吸暂停 (OSA) 风险之间的关系,使用STOP-Bang问卷进行评估,以及自杀风险行为.
- 在韩国成年人口的全国代表性样本中分析这一关联.
主要方法:
- 利用了来自2019-2020年韩国国家健康和营养检查调查的11,917名成年人 (年龄≥40岁) 的数据.
- 采用多重后勤回归分析来评估自杀行为与中高风险OSA (STOP-Bang分数≥3) 之间的关联.
主要成果:
- 中高风险的OSA组报告了较高的健康状况不佳,严重的压力,睡眠时间缩短,生活质量降低和抑郁症的患病率.
- 自杀想法,计划和企图在中高风险OSA组 (2.5%,1.8%,0.5%) 与低风险组 (1.1%,1.2%,0.1%) 相比明显更频繁.
- 自杀想法,计划和企图的调整后几率比分分别为1.42,1.21和3.29,在中高风险的OSA组中.
结论:
- 根据STOP-Bang问卷显示,中度至高度的OSA风险与韩国人口的自杀行为有显著的关联.
- 这些发现强调了在表现出自杀风险行为的个体中进行OSA查的重要性.
- 这项研究强调了自杀行为潜在的可修改风险因素,强调了需要综合睡眠和心理健康护理的需要.
相关概念视频
01:21Sleep Apnea
121
Sleep apnea is a condition where breathing stops intermittently during sleep, often leading to significant health issues. Each episode can last from 10 to 20 seconds or more and is frequently accompanied by a brief arousal from sleep. This disturbance, largely unnoticed by the individual, can lead to severe daytime fatigue. Commonly, individuals seek help after being informed by their partners about loud snoring and noticeable breathing pauses during sleep.
The condition is more prevalent among...
The condition is more prevalent among...
121
01:17Sleepwalking and Sleep Talking
111
Somnambulism, commonly known as sleepwalking, involves individuals engaging in activities ranging from simple walking to more complex behaviors such as driving. Sleepwalking typically occurs during the slow-wave sleep stages 3 and 4 early in the night when the person is not dreaming, contradicting the myth that sleepwalkers are acting out their dreams.
Factors that increase the likelihood of sleepwalking include sleep deprivation and alcohol consumption. Contrary to common beliefs, it is safe...
Factors that increase the likelihood of sleepwalking include sleep deprivation and alcohol consumption. Contrary to common beliefs, it is safe...
111
01:24Substance Use Disorders Affecting Sleep
155
Substance use disorders involve a pattern of using drugs more extensively than intended and continuing use despite harmful consequences. This includes legal substances like alcohol and nicotine, as well as illegal drugs. These disorders often involve both physical and psychological dependence, reflecting compulsive use of substances that significantly alter thoughts, feelings, and behaviors, contributing to a major public health issue.
Understanding the concepts of physical dependence,...
Understanding the concepts of physical dependence,...
155
01:13Insufficient Sleep and Sleep Deprivation
128
Insufficient sleep refers to not getting the recommended amount of sleep for optimal functioning, even if it's just slightly less than needed. Sleep insufficiency may occur due to lifestyle choices, such as staying up late for social events or work, resulting in routinely getting less sleep than required. For example, consistently sleeping 6 hours when the body needs 7-9 hours can lead to cumulative effects on health and well-being.
Sleep deprivation is a more severe form of sleep loss...
Sleep deprivation is a more severe form of sleep loss...
128
01:27Insomnia
78
Insomnia is a prevalent sleep disorder characterized by difficulty falling asleep, frequent awakenings during the night, and waking up too early without being able to return to sleep. People with insomnia often experience these disruptions at least three nights a week for at least one month. Chronic insomnia, which lasts for at least three months, can lead to increased anxiety, which in turn can worsen sleep difficulties, creating a cycle of sleeplessness and stress.
Multiple factors contribute...
Multiple factors contribute...
78
02:07Blind Procedures
10.6K
Ideally, the people who observe and record the children’s behavior are unaware of who was assigned to the experimental or control group, in order to control for experimenter bias. Experimenter bias refers to the possibility that a researcher’s expectations might skew the results of the study. Remember, conducting an experiment requires a lot of planning, and the people involved in the research project have a vested interest in supporting their hypotheses. If the observers knew which...
10.6K